X-ray parameters of sagittal balance in children with multiplanar deformities of the proximal femur

Ivan Yu. Pozdnikin; Поздникин Иван Юрьевич; Ivan Yu. Pozdnikin; Pavel I. Bortulev; Бортулёв Павел Игоревич; Pavel I. Bortulev; Dmitry B. Barsukov; Барсуков Дмитрий Борисович; Dmitry B. Barsukov; Vladimir E. Baskov; Басков Владимир Евгеньевич; Vladimir E. Baskov; Tamila V. Baskaeva; Баскаева Тамила Владимировна; Tamila V. Baskaeva

doi:10.17816/PTORS88912

股骨近端多平面畸形儿童矢状面平衡的放射学指标研究

作者: Pozdnikin I.Y.¹, Bortulev P.I.¹, Barsukov D.B.¹, Baskov V.E.¹, Baskaeva T.V.¹
隶属关系:
1. H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
期: 卷 10, 编号 1 (2022)
页面: 23-32
栏目: Clinical studies
##submission.dateSubmitted##: 23.11.2021
##submission.dateAccepted##: 20.01.2022
##submission.datePublished##: 24.03.2022
URL: https://journals.eco-vector.com/turner/article/view/88912
DOI: https://doi.org/10.17816/PTORS88912
ID: 88912

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论证。儿童股骨近端多平面畸形常伴有大转子的高位，引起髋关节生物力学和关节外撞击综合征。股骨近端多侧畸形的渐进式解剖和生物力学变化也导致髋关节与骨盆与腰骶椎系统的变化，相互加重。目前，俄罗斯文献中很少有关于评估患有这种病症的儿童的矢状椎体-骨盆关系的文章。

本研究的目的是评估股骨近端多平面畸形且大转子位置较高的儿童的矢状面平衡的放射学指标。确定儿童股骨近端畸形的严重程度与脊柱-骨盆参数的变化之间的关系。

材料与方法。对25例9至15岁股骨近端畸形患儿（25个受累关节）的X线检查资料进行分析。该患儿的股骨大转子位于股骨上极高位，其尖端位于股骨头上极或以上。正面的股骨头与大转子的比率以及矢状面的平衡值是在侧面的骨骼X光片上评估的。获得的数据经过了统计学处理。

结果。股骨近端多平面畸形且大转子位置较高的患儿，其特点是整体腰椎前凸和骨盆过度前倾值显著增加，以及骨盆向患肢倾斜。发现股骨近端损伤的严重程度与矢状脊柱-骨盆比率的变化程度之间有直接的相关性。

结论。大转子高位儿童髋关节解剖障碍的合并和进展导致腰骶椎的病理代偿性改变，并发展为退行性营养不良。

关键词

髋关节, 股骨多平面畸形, 大转子, 髋关节撞击综合症, 脊柱与骨盆矢状平衡, 儿童

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俄罗斯联邦, Saint Petersburg

参考

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